Isolauri J, Teerenhovi O, Lehmusto P, Auvinen O
Ann Chir Gynaecol. 1985;74(6):270-3.
21 years' experience of operated pancreatic pseudocysts is reviewed. The number of patients was 42, with mean age of 50 +/- 5 years. Thirteen patients (31%) were alcoholic. In 6/42 cases (14%) pancreatic carcinoma was considered the reason for pseudocyst formation. In 30 patients an internal and in 11 an external drainage was created. Operative mortality occurred in 3 patients (7%). External drainage was effected in patients with complicated pseudocyst. The complication rate in this group was 6/11 (55%) and in the internal drainage group 7/30 (23%). Internal drainage is a safe and effective procedure in patients with a mature pseudocyst wall. External drainage should be used in patients critically ill or with an immature pseudocyst wall.
回顾了21年胰腺假性囊肿手术治疗的经验。患者42例，平均年龄50±5岁。13例（31%）为酒精性。42例中有6例（14%）认为胰腺癌是假性囊肿形成的原因。30例行内引流，11例行外引流。3例（7%）发生手术死亡。复杂假性囊肿患者行外引流。该组并发症发生率为6/11（55%），内引流组为7/30（23%）。对于假性囊肿壁成熟的患者，内引流是一种安全有效的方法。病情危重或假性囊肿壁未成熟的患者应采用外引流。
